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I• �� i � 1• � >• f• � f, � I• � � � I•� I, <br /> 33394 <br /> niversai <br /> Enviffronm ti--lum.— - <br /> 4101 Industrial Way P O Box 996 Benicia, CA 94510 707-747-6699 <br /> HAZARDOUS WASTE HAULING REMEDIATION INDUSTRIAL CLEANING <br /> DISC 3240 ICC#MC271664 <br /> MANIFEST# %.go 4 64J ri t 1�7 Z 7� DATE l <br /> PO # ` <br /> CONTACT JOB# `/ Z <br /> CUSTOMER CJ <br /> JOB LOCATION <br /> CITY STATE <br /> SERVICES PERFORMED <br /> DELIVER BIN# <br /> PICKUP BIN# <br /> PRODUCT e, ORIGIN �a,ao ��DESTINATIONARRIVE JOBARRIVE De zj <br /> DEPART JOB r0 ��( ' DEPART DISPOSAL <br /> TRUCK# /2 4TRAILER# z.2o Z— START &6c STOP_Oyj_a__ TIME HOUR <br /> CAPACITY TIME OUT TO LESS HOUR <br /> #LOADSt DMIYDILBS A LINER W/O NET HOUR <br /> DISPOSAL SITE r n ,Lr G. PER DIEM TOLL _ <br /> DRIVERS NAMEa a LABORER <br /> DRIVERS SIGNATURE CUSTOMER AUTHORIZATION <br /> E: <br /> NOTE In the event of action or proceeding upon this agreement the court shall award to the prevailing party court costs and resonable attorney fees <br /> interest will be char ed at the rate of l I!2%per month 18% r annum on all overdue accounts <br /> "Al �. <br /> 52,4rt" — 2360 <br />